CGHS Benefits for KVS Employees Expanded
The Central Government has extended Central Government Health Scheme (CGHS) benefits to both serving and retired employees of the Kendriya Vidyalaya Sangathan (KVS). This initiative enhances access to quality health services and provides clarity on the application process, subscription requirements, and the responsibilities of relevant regional offices.
Key Details and FAQs for KVS Employees
1. Is the CGHS Scheme Mandatory or Optional?
- The scheme is optional for both serving and retired KVS employees.
2. What is the Application Process for Retired Employees?
- Retired employees must submit a completed application using the prescribed form (Annexure-II of the KVS letter dated November 4, 2024).
- All fields in the form are mandatory, and incomplete applications may be rejected.
3. How Should the Subscription Amount Be Paid?
- Retired employees need to remit the subscription amount along with the application form to their Retirement Benefit Sanctioning Regional Office.
- Account details such as IFSC codes will be provided for payments.
4. Does the Regional Office Transfer the Subscription Amount?
- No, the Retirement Benefit Sanctioning Regional Office retains the subscription amount.
- This office issues a confirmation of receipt in a prescribed format.
5. Who Pays the Amount to CGHS Authorities?
- The chosen Regional Office is responsible for remitting the subscription to the CGHS authorities based on the applicable city rates.
- If insufficient funds are available, the Regional Office may request additional resources from KVS Headquarters.
6. How is the Fixed Medical Allowance (FMA) Stopped?
- A letter to stop the FMA is issued by the Retirement Benefit Sanctioning Regional Office, KVS Headquarters, or Zonal Institutes of Education and Training (ZIETs).
- This letter is attached to the application before forwarding it to the opted Regional Office.
Role of Relevant Offices in the CGHS Process
Retirement Benefit Sanctioning Regional Office
- Verify Application Details: Ensures completeness and correctness.
- Issue FMA Stop Letter: Sends it to the pension disbursing authority.
- Record Maintenance: Maintains proper documentation of CGHS contributions and related actions.
Opted Regional Office
- Facilitator Role: Functions as a liaison for issuing CGHS cards and processing reimbursement of medical claims.
- Submit Contributions: Transfers application and CGHS contributions to the appropriate CGHS authority.
- Reimburse Medical Claims: Ensures timely processing and reimbursement of claims for retired employees.
Simplifying the Process for CGHS Benefits
The guidelines aim to streamline the process and guarantee that eligible KVS employees, whether current or retired, can seamlessly access CGHS facilities. Clear instructions and designated responsibilities for regional offices ensure efficient facilitation of these benefits.
For more details and updates, employees can refer to official communications from KVS Headquarters or visit CGHS portals.
